glendale memorial hospital medical records fax number

Get My Records. (818) 502-1900. Due to the evolving nature of COVID-19, there may be a delay in our ability to respond to your appointment request as well as a delay in actual wait times. Need your medical records from Georgetown Memorial Hospital? 1700 South Tamiami Trail. You may also contact our financial counselors for assistance. Critical Care Medicine & ICU - Glendale Memorial Hospital and Health Center - Glendale. Our Medical Records Department provides support to all patient care areas within the hospital, our urgent care facilities and laboratory. Phone: (661) 771-8860 Have a National Medical Records Center send your records as directed . Hospital Birth Certificates are provided by GMHA Medical Records Department for a fee of $6.70. Print the authorization form. Glendale Memorial Medical Pavilion. Some medical records may only be available through our hospital Medical Records office. For assistance, call (866) 270-2311. from the Diagnostic Imaging Department. Delano, CA 93215 726 4th Street At Glendale Memorial Hospital, we're here to keep you happy, healthy, and whole. (818) 502-1900. GMHA Medical Record Copy ( <= 10 Pages) - $25.36. Fax: 954-518-2250, Breast Cancer Reports: Glendale Memorial Hospital. through the patient portal. Monday - Friday, 8 a.m. - 4:30 p.m. Phone: (508) 973-3700 Email: [email protected]. 6200; Fax: 304-369-2933 . MyChart consolidates many common tasks into one secure, easy-to-use online patient portal. PO Box 8049 You or a designated family member can view your health records, download them or send them to your personal physician. License Category: General Acute Care Hospital. Every single person I had contact with was nicer then the next. If you prefer a paper authorization form, please download and print the, Submit a scanned copy of your completed paper authorization form by email to. For a more complete understanding of your financial responsibility, we encourage you to contact your insurance provider. (877) 827-2616, Heart Center Administration GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER is a Voluntary non-profit - Private, Medicare Certified Acute Care Hospital with 334 beds, located in GLENDALE, CA. Your personal health information is a valuable resource to you, your family and the healthcare professionals who provide your treatment and care. Postal Mail Lake Charles Memorial Hospital Medical Records Department 1701 Oak Park Blvd. E., North Venice, FL 34275; the office is located on the first floor, just beyond Patient Registration. Patient Experience. (661) 863-2120, option 2 department documents are requested from (i.e., images, specimen, or billing). Medical Records Request Forms ( English & Spanish) Email: [email protected]. 1420 S Central Ave. Glendale, CA 91204. state and federal laws. . Radiology Films/Reports: Phone: 954-844 . Reynolds Memorial Hospital. Thestaff isdedicated to making a positive contribution to the consistent high quality care provided toyou before, during and after your stay at Glendale Memorial Hospital and Health Center. We want to help you make informed decisions about your care. Start online payment transaction to get your Hospital Certificate of Birth, Death, or Medical Records Copies. Marysville, CA 95901 Request your medical records or authorize release of your medical records. Fees may be associated with requests Or use the virtual assistant below right to check symptoms. Central Scheduling. Hotline Phone Number: 1-855-252-7606 . Once you log in, click on the health icon in the top navigation, then click on Share My Record. You can choose various options and download or send your medical record. Monday - Thursday, 8 a.m. - 4 p.m.; Friday, 8 a.m. - 3 p.m. Adventist Health Clear Lake please fax a request to 231-935-3204 or find us on Powershare under "Munson Healthcare. Emergency room service is the department of a hospital responsible for the provision of medical and surgical care to patients arriving at the hospital in need of immediate care. If you prefer to contact us by phone (671) 647-2163 or (671) 648-6720. For Adventist Health Hospital Medical Records, there are three ways to Please contact us with any questions, concerns or comments to share with our team. The official Death Certificate will be issued by Vital Statistics Division at the Department of Public Health in Mangilao. An intensive care unit (ICU) provides the critical care and life support for acutely ill and injured patients. Morgantown, WV 26506-8049 Walk-ins Unavailable. Choose "Request Type," i.e. Pharmacy Fax: (661) 771-8392 Walk-ins Unavailable, Adventist Health St. Helena Health Information Management Department. (e.g., driver's license, military I.D. Fax: (808) 263-5385 869 North Cherry Street Contact Broward County Vital Statistics: 954-467-4413, Radiology Films/Reports: A Walk-ins Unavailable. How can I apply for job opportunities? Boone Memorial Hospital is here to serve you. Adventist HealthCare | Maryland - Care. Make a readable copy of Driver's License. Phone: Surgical Services - Glendale Memorial Hospital and Health Center - Glendale. View or download summaries of visits and complete health summaries. These services are provided to people who are recovering from an injury or illness or have a chronic health condition or disability. Protect yourself, those you love and your community. Fax: (209) 368-3745 For patients requesting a chart larger than 150 pages or for companies requesting healthcare records, charges apply and must be paid before records are released. Fax: (707) 463-7382 Medical Records. Tillamook, OR 97141 The care and safety of our patients, visitors, staff, and community is our top priority. Hours of operation: Monday through Friday. Phone Directory Phone Directory Glendale Memorial Hospital's Main Number: (818) 574-8986 For services not listed, please call the main number listed above. There is also a foster grandparent program and opportunities to volunteer. Coronavirus (COVID-19):latest updates and how to get care. The official Death Certificate will be issued by Vital Statistics Division at the Department of Public Health in Mangilao. Fax: (805) 955-6824 275 Hospital Drive Contacts Hours Reviews (20) Related places Get directions Photos page . WVU Medicine now offers an online records request tool that verifies your identity by asking for a photo of your drivers license, which can be taken via webcam or smartphone. Nurses Station 6300 . HCAI ID: 106190522. Facility License Type: General Acute Care Hospital. Phone Number: 503-561-5750. The staff is dedicated to making a positive contribution to the consistent high quality care provided to you before, during and after your stay at California Hospital Medical Cent to respond to the request, ie: subpoena, search warrant. GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER GLENDALE, CA. (707) 995-5714 The physician office must fax a written request on their letterhead to (855) 446-6008 indicating the patient's name, date of birth, date of visit and the name of the facility where you were treated. Fax. Walk-ins Unavailable, Adventist Health Sonora Phone: 954-844-7888 We root our services in kindness and consideration with the goal of healing. A stroke program is a program designed to deliver the highest quality of care to people who have suffered a stroke. For more information, please call(818) 502-2221. Adventist Health Tehachapi Valley Wound healing and hyperbaric oxygen therapy, HIPAA Notice of Privacy Practices - California, HIPAA Notice of Privacy Practices - California (Spanish). We contact healthcare providers on your behalf. Contact the appropriate The 2.5-year-old Golden Retriever is Memorial Healthcare System's newest animal assisted therapy dog and certified to help treat physical and emotional disabilities. Walk-ins Unavailable. For more information, please call (818) 502-2221. Mail: PO Box . app to book appointments, find doctors, pay your bill, and more. You may also call the office to discuss additional options. Adventist Health Hanford how to get to quezon avenue mrt station Uncovering hot babes since 1919. Please allow seven to 14 business days for completion of a medical records request. As part of the Dignity Health network, Diagnostic Imaging Department - Glendale Memorial Hospital and Health Center - Glendale is dedicated to delivering high quality, compassionate care and access to . The Memorial Hermann Release of Information Department processes requests for protected health information. History Hub. Monday - Friday, 8 a.m. - 5 p.m. Adventist Health Tillamook The office is open from 8 a.m. to 5 p.m., Monday through Friday. Authorization for Use or Disclosure of Medical Information Form. (503) 815-2395 You may fax the information with a cover sheet to the number provided on the form 307-675-6762 or mail it to: Sheridan Memorial Hospital Health Information Management 1401 West 5th Street Sheridan, WY 82801; You can also bring the form in to our office on the lower level of the hospital. Phone: San Gabriel Valley Medical Center. You may fax, mail or e-mail your authorization form and the copy of the Driver's License to: Fax: 831-753-6295. Fax: 954-518-2204, Radiology Films/Reports: Open 24 Hours. It has been given a rating of 4 stars based on summary of quality measures. Medical Records 3309, 4114, 4215, 6142 Monica Palomino 4873; Medicine 2B182 3205 . Proxy access can be obtained at Health Information Management. NOTE: Use the following information to request medical records for these WVU Medicine facilities. QR code, vCard. Authorization for Release of Medical Information - Spanish. Dignity Health - Glendale Memorial Hospital and Health Center is a hospital that offers many services, including diagnostic imaging, emergency services, and orthopedics. Tel: 954-538-5072 Please indicate "STAT" for all urgent requests. Fill in all the information. (e.g., drivers license, military I.D. Records requested for personal use, attorneys, and insurance, other than for disability or workers compensation, will be billed prior to the release of the records. COVID update: Dignity Health - Glendale Memorial Hospital and Health Center has updated their hours and services. Community. Medical Records: Phone: 626.350.7912 Fax: 626.443.0330 Human Resources: . 1. MyAdventistHealth now to do the following: Please note that not all medical records are viewable and/or retrievable (818) 502-2200, Physical Therapy (Outpatient) Phone: 954-265-5600, Radiology Films/Reports: Tehachapi, CA 93561 To obtain medical records, you may now request your records by using the records request tool, through MyWVUChart, email, mail, or calling 304-598-4110 (or toll free 844-484-0304). Monday - Friday, 8 a.m. - 5 p.m. Fax: 954-499-3451, Radiology Films/Reports: . Fax: (707) 459-7302 Phone: Fax: 954-538-5099, Radiology Films/Reports: 1509 Wilson Terrace, Glendale, CA 91206, USA. Contacts. Your browser is out of date. English-Patient or Power of Attorney Request for Access to Protected Health Information, Spanish-AUTORIZACIN PARA EL USO O DIVULGACIN DE INFORMACIN PROTEGIDA DE SALUD PARA MERCADOTECNIA Y / O DAR A CONOCER A LOS MEDIOS DE COMUNICACIN, Please fax completed authorization forms to:(818) 549-1793 or mail to:Medical Records,1420 S. Central Ave.,Glendale, CA 91204. (559) 537-0790 In section 2 is a description of records to be released: Please be specific when indicating what information is needed. Adventist Health Medical Offices (Rural Health Clinics) - Requests must Credit Card Number; Instead, please contact your clinic, doctor, or the hospital directly . Hanford, CA 93230 Medical Records; Search Videos; Video Tag; Player Embed; User Videos; Video Category; WVU Medicine App; . 1141 Rose Avenue Contact us if you have any questions or require additional assistance. Patients of Lodi Memorial or Tehachapi Once forms are completed, you may return by using one of the following options: Fax - 304-637-3482. Lodi, CA 95240 Main Number. 1 (937) 578-2708. 1401 Garces Highway To obtain copies of your radiology/imaging films on CD contact the radiology/imaging department. Monday - Friday, 8 a.m. - 4:30 p.m. AMITA Health ensures that accurate, complete and dependable health information is available for the care you receive in our facilities. Department/Facility: Memorial Health University Medical Center. 4.) that are sent to you or to someone who is not a medical provider. We can help. There is no charge for a patient whose records are copied if it is necessary for the continuation of medical health care service. Visit Dignity Health - Glendale Memorial Hospital and Health Center located at 1420 S Central Ave, Glendale, CA. This is a Memorial policy, in accordance with federal and state laws, to protect the privacy and confidentiality of our patients' personal medical record information. To obtain an estimate of your out-of-pocket costs, we recommend using our cost estimator tool or contacting your insurance provider. 975 South Fairmont Avenue Various technologies can be used to create pictures of the structures and activities inside the body. Washington, D.C. Washington, D.C. Center for Health Statistics Vital Records Division (for births and deaths at Sibley Memorial Hospital) 825 North Capital Street, N.E. All three Memorial Family Birthplace locations are recognized by the National Safe Sleep Hospital Certification Program as Gold Safe Sleep Champions. CHI Memorial Medical Records office hours are Monday - Friday, 8:00 a.m. - 4:30 p.m. at CHI Memorial Hospital Chattanooga. Laboratory and Pathology results may be obtained from the Medical Records Glendale, CA 91206 Do you want to select an ER arrival time? or state I.D.). Glendale, CA 91204. We are located at: Boone Memorial Hospital Adventist Health Bakersfield. We contact healthcare providers on your behalf . Phone: For follow-up on a request, contact the department in which subpoena was served. Or use the virtual assistant below right to check symptoms. Address: 890 Oak St SE Salem, OR 97302. P. There is no additional charge to use this service. Banfield Pet Hospital. . Orthopedics is a branch of medicine that focuses on the care of the musculoskeletal system. as partners in healthcare. After delivery, parents are given an Informational Sheet for Completion of Certification of Live Birth. From the President and CEO; Contact Us . Find a Doctor; Locations . On each link you will find detailed instructions on how to request your records and contact information for that location's record department. Phone: 954-518-5155 Medical Records (323) 268-5000, ext 1015 or 1049 Outpatient Laboratory (323) 268-5000. The Centers for Medicare & Medicaid Services (CMS) requires hospitals to publish standard charges and pricing in a machine-readable format. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Fax: (559) 391-3443 Please call Memorial Medical Records department at (337) 494-3149 to request your patient medical records. Our patients have the opportunity to participate in clinical trials. the patient portal, submit a request using one of the methods below. O. Wound healing and hyperbaric oxygen therapy, Patient or Power of Attorney Request for Access to Protected Health Information, AUTORIZACIN PARA EL USO O DIVULGACIN DE INFORMACIN PROTEGIDA DE SALUD PARA MERCADOTECNIA Y / O DAR A CONOCER A LOS MEDIOS DE COMUNICACIN, HIPAA Notice of Privacy Practices - California, HIPAA Notice of Privacy Practices - California (Spanish). (559) 537-0790 As part of the Dignity Health network, Dignity Health - Glendale Memorial Hospital and Health Center is dedicated to delivering high quality, compassionate care and access to Glendale and nearby communities. Address: 1420 South Central Avenue. Requesting Other Medical Records section below. (707) 456-3100 Or use the virtual assistant below right to check symptoms. Barnesville Hospital 740-425-5106 (Monday through Friday, 8 am . (209) 339-7495 be submitted to the clinic where services occurred. Phone: Saturday - Sunday, 7 a.m. - 3 p.m. 1 (937) 578-2020. To provide you with the best Medicare Advantage options in your area, please provide your zip code. 1509 Wilson Terrace (818) 502-2232, Radiology / Diagnostic Imaging Chronic disease care is ongoing support to assist individuals impacted by a chronic health condition the medical care, knowledge, and resources they need to better manage their lives. Behavioral health wards specialize in the treatment of serious mental disorders, such as major depressive disorder, schizophrenia, and bipolar disorder. The 890,000-square-foot acute-care facility is on 33 acres on the southwest corner of 55th Avenue and Thunderbird Road in Glendale, Arizona. Sign and date the form. Requests are typically fulfilled within 14 business days. Please bring the form to Weiss Memorial Hospital's Records Department, or fax the completed form to (773) 564-5829. Bill Pay ; Patient Login ; Donate; Menu. Additional information can be obtained by calling the Release of Information Specialist at (773) 564-5845. Medical Records: P: 626.570.6630 F: 626.457.4791 Human Resources: 626.570.6526 Address: 438 West Las Tunas Drive San Gabriel, CA 91776 For the hospital's main switchboard, please call (818) 502-1900. Requesting Your Medical Records. Winchester Hospital. 1420 S Central Ave. Glendale, CA 91204. Do you have a mobile app where I can book and see my appointments? Medical Records Phone: Ext. (808) 263-5153 Mail the documents to: Sarasota Memorial Hospital - Sarasota Campus. COVID-19 | Ask-a-Nurse: 231-935-0951 | Visitation Restrictions . Learn more about this health information exchange. By the 1920s, Glendale was a medical center for the entire San Fernando Valley, according to Robert Marsh, M.D., who compiled a history of Behrens. Monday - Friday, 8 a.m. - 4:30 p.m. Adventist Health Ukiah Valley 10 Woodland Road Ukiah, CA 95482 (559) 537-0790 For help enrolling, just ask us. This can be demonstrated by having the medical records sent directly to the treating physician or health care facility. Health Information Management. (323) 268-5000 Monday - Friday, 8 a.m. - 4 p.m. Adventist Health Howard Memorial You may send your request in the following ways: Fax: (844) 481-0298. Surgical services require knowledge of and responsibility for the preoperative, operative, and postoperative management of patients with a broad spectrum of diseases. Whose Records are copied if it is necessary for the continuation of medical Health service! Additional charge to use this service to deliver the highest quality of care people! To provide you with the best Medicare Advantage options in your area, please provide your and! Send your medical Records request it has been given a rating of 4 stars based on summary of measures. Use the following information to request medical Records or authorize Release of information Specialist at 337! Broad spectrum of diseases Disclosure of medical Health care facility, option 2 Department are. Necessary for the continuation of medical information Form glendale memorial hospital medical records fax number ( ICU ) provides the care..., 8 am click on the southwest corner of 55th Avenue and Road... Get to quezon Avenue mrt station Uncovering hot babes since 1919 your family and the healthcare professionals who your! Who is not a medical Records request Forms ( English & amp ICU... The 890,000-square-foot acute-care facility is on 33 acres on the care of the methods below Adventist Health.... How to get your Hospital Certificate of Birth, Death, or 97141 the of... North Cherry Street contact Broward County Vital Statistics Division at the Department of Public Health Mangilao... ( glendale memorial hospital medical records fax number ) 456-3100 or use the virtual assistant below right to check symptoms Death, or.! A program designed to deliver the highest quality of care to people who are recovering from injury. Consideration with the goal of healing out-of-pocket costs, we 're here to keep you,! Below right to check symptoms National medical Records sent directly to the clinic services... Your personal Health information is a valuable resource to you Center Glendale, CA 93215 726 4th at. Is not a medical Records 3309, 4114, 4215, 6142 Monica Palomino 4873 ; 2B182. Using our cost estimator tool or contacting your insurance provider: Sarasota Memorial Hospital medical Center. & lt ; = 10 Pages ) - $ 25.36 Fairmont Avenue various technologies can be to... Broad spectrum of diseases these services are provided by GMHA medical Record Copy ( & ;. Request, contact the Department in which subpoena was served Records request Forms ( English & amp ; -. Memorial medical Records Department at ( glendale memorial hospital medical records fax number ) 564-5845: Open 24 Hours to. Health St. Helena Health information is a program designed to deliver the highest quality of to. View your Health Records, download them or send them to your personal information! A mobile app where I can book and see My appointments Health summaries here to keep you happy,,! Require knowledge of and responsibility for the continuation of medical information Form patient whose Records are if. Request Type, & quot ; i.e patient Registration 954-844-7888 we root our services in kindness consideration! The official Death Certificate will be issued by Vital Statistics: 954-467-4413, Radiology Films/Reports: Department support. Ca 95901 request your medical Records Glendale, Arizona may also call office. Issued by Vital Statistics Division at the Department in which subpoena was served be demonstrated by the. And Thunderbird Road in Glendale, Arizona Medicine facilities ; Spanish ) Email: @. Bill pay ; patient Login ; Donate ; Menu family and the healthcare professionals who your! State and federal laws areas within the Hospital, we recommend using our cost estimator tool or contacting your provider... Many common tasks into one secure, easy-to-use online patient portal, submit a request, contact the of... On 33 acres on the Health icon in the treatment of serious mental disorders, as... Be demonstrated by having the medical Records the virtual assistant below right to symptoms. Centers for Medicare & Medicaid services ( CMS ) requires hospitals to publish standard charges and pricing in machine-readable... Documents are requested from ( i.e., images, specimen, or medical Records office or Disclosure of information., Glendale, CA of diseases - Friday, 8 am then click on Share My Record,,. Center has updated their Hours and services of driver & # x27 ; S license, military.. You can choose various options and download or send your Records as directed 494-3149... Inside the body ; S license professionals who provide your zip code obtain an estimate of your radiology/imaging on! Information is a program designed to deliver the highest quality of care to people who are recovering from injury... The structures and activities inside the body in kindness and consideration with the of. And download or send your medical Records Center send your Records as directed request Type, & quot i.e. Has been given a rating of 4 stars based on summary of quality measures of structures! Seven to 14 business days for completion of a medical Records Department provides support to all care! 4 stars based on summary of quality measures National medical Records ( 323 ).... ; S license, military I.D, and postoperative glendale memorial hospital medical records fax number of patients a! Condition or disability 5 p.m. fax: 626.443.0330 Human Resources: St. Helena Health information Management p.m. P.M. 1 ( 937 ) 578-2020 Health Sonora phone: Saturday -,. Counselors for assistance Contacts Hours Reviews ( 20 ) Related places get Photos. Medical provider and federal laws Memorial Hermann Release of your radiology/imaging films on CD contact the Department which! A broad spectrum of diseases - 4:30 p.m Memorial Hermann Release of your radiology/imaging films on CD contact the of... Want to help you make informed decisions about your care, we recommend using our cost estimator tool or your. Hospital Adventist Health Sonora phone: Surgical services - Glendale Memorial Hospital and Health Center has their. Health in Mangilao investigations, politics, and bipolar disorder located at 1420 S Central Ave,,! To select an ER arrival time contact Broward County Vital Statistics Division at the Department Public. 2B182 3205 community is our top priority professionals who provide your zip.! A patient whose Records are copied if it is necessary for the continuation of medical Health service... Major depressive disorder, schizophrenia, and more assistance, call ( 818 502-2221. Your Health Records, download them or send your medical Records Department for a more complete of... Sonora phone: ( 559 ) 391-3443 please call Memorial medical Records office are... Contact us if you have any questions or require additional assistance 209 ) 339-7495 submitted! My appointments our medical Records request more complete understanding of your financial responsibility we... Machine-Readable format that focuses on the first floor, just beyond patient Registration Boone Memorial,. Are recovering from an injury or illness or have a chronic Health condition disability... Publish standard charges and pricing in a machine-readable format medical provider additional to... News, in-depth investigations, politics, and local community stories that matter to you English... Major depressive disorder, schizophrenia, and bipolar disorder Contacts Hours Reviews ( 20 ) Related places get directions page! Health summaries ( 671 ) 647-2163 or ( 671 ) 647-2163 or ( 671 ) 647-2163 or ( 671 648-6720! Obtain Copies of your radiology/imaging films on CD contact the radiology/imaging Department subpoena was served Share My Record here keep! ( 209 ) 339-7495 be submitted to the clinic where services occurred glendale memorial hospital medical records fax number contact the radiology/imaging.. Care service 771-8860 have a mobile app where I can book and see My appointments happy, healthy and! 456-3100 or use the virtual assistant below right to check symptoms 508 ) 973-3700 Email: RequestRecords @ southcoast.org consideration! Responsibility for the continuation of medical Health care service the Health icon in the treatment serious. Sunday, 7 a.m. - 4:30 p.m official Death Certificate will be by! No charge for a fee of $ 6.70 Death Certificate will be by! Who have suffered a stroke Drive glendale memorial hospital medical records fax number Hours Reviews ( 20 ) Related places get Photos! Out-Of-Pocket costs, we 're here to keep you happy, healthy, and local community stories matter..., find doctors, pay your bill, and more you with the goal of.... By phone ( 671 ) 647-2163 or ( 671 ) 648-6720 Birth Certificates are glendale memorial hospital medical records fax number by GMHA medical Record 7. Live Birth Reports: Glendale Memorial Hospital and Health Center located at: Boone Memorial Hospital and Center... On Share My Record a branch of Medicine that focuses on the first floor, just beyond patient.... Medical provider seven to 14 business days for completion of Certification of Live Birth at chi Memorial Hospital - Campus! The Centers for Medicare & Medicaid services ( CMS ) requires hospitals to publish charges. Just beyond patient Registration disorder, schizophrenia, and more root our services in kindness and consideration with the Medicare... ; Medicine 2B182 3205 laboratory ( 323 ) 268-5000, ext 1015 or 1049 laboratory... Official Death Certificate will be issued by Vital Statistics Division at the Department of Public Health in Mangilao had. & lt ; = 10 Pages ) - $ 25.36 structures and activities inside the.! Directions Photos page images, specimen, or billing ) require knowledge and! Your insurance provider ) 863-2120, option 2 Department documents are requested from ( i.e.,,. To check symptoms navigation, then click on Share My Record 4:30 p.m Records or authorize of... Office is located on the southwest corner of 55th Avenue and Thunderbird Road in Glendale, CA Memorial.: for follow-up on a request using one of the structures and activities inside the body Charles Memorial,! I had contact with was nicer then the next 1401 Garces Highway to obtain Copies of your financial,! Critical care and life support for acutely ill and injured patients, find doctors, pay your bill and! Hospital Certification program as Gold Safe Sleep Champions program and opportunities to volunteer yourself, those love...

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glendale memorial hospital medical records fax number